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目的 探讨成人IgM肾病的临床病理特点及预后。方法 收集本院IgM肾病 3 6例 ,对其临床表现、病理及疗效进行分析。结果 IgM肾病临床表现呈肾病综合征、血尿、血尿伴蛋白尿等多种表现 ,其组织病理和免疫病理分型也呈多样性 ,三者之间无明显相关性。所有病例予激素加免疫抑制剂治疗 ,有效率 96 7%。随访 3～ 89个月 ,未见肾功能异常改变者。结论 IgM肾病临床表现及病理分型呈多样性 ,对激素和免疫抑制剂敏感 ,愈后佳
Objective To investigate the clinicopathological features and prognosis of adult IgM nephropathy. Methods 36 cases of IgM nephropathy in our hospital were collected, and their clinical manifestation, pathology and curative effect were analyzed. Results The clinical manifestations of IgM nephropathy were nephrotic syndrome, hematuria and hematuria with albuminuria. The histopathological and immunopathological types of IgM nephropathy were also diverse. There was no significant correlation among them. All cases of hormone plus immunosuppressive therapy, the efficiency of 96 7%. Follow-up 3 to 89 months, no change in renal dysfunction. Conclusion The clinical manifestations and pathological types of IgM nephropathy are diverse, sensitive to hormones and immunosuppressive agents,